Wesley Chapel Smiles Dentistry, PA
Dentist in Lutz, FL. Organization (NPI-2).
NPI number1982178612
StatusActive
Last updated in NPPESAug 21, 2024
Details
- NPI
- 1982178612
- Entity type
- Organization (NPI-2)
- Legal business name
- Wesley Chapel Smiles Dentistry, PA
- Organization subpart
- No
- Enumeration date
- Jan 16, 2019
- Certification date
- Aug 21, 2024
- Last updated
- Aug 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Other names
- Wesley Chapel Smiles Dentistry (Doing Business As)
Practice location
25464 Sierra Center BlvdLutz, FL 33559-7322
Phone 813-296-2028
Mailing address
Po Box 920050Dallas, TX 75392-0050
Phone 714-845-8500 · Fax 303-952-0892
Authorized official
Minh B Pham
Owner/DDS
8132962028
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